重心移动式截瘫步行矫形器对胸腰段脊髓损伤患者的疗效分析

doi:10.13418/j.issn.1001-165x.2017.02.022

中国临床解剖学杂志 ›› 2017, Vol. 35 ›› Issue (2): 224-227.doi: 10.13418/j.issn.1001-165x.2017.02.022

重心移动式截瘫步行矫形器对胸腰段脊髓损伤患者的疗效分析

唐丹^1,2，　刘四文²，　邓小倩²，　廖麟荣³，　杨振辉²，　杨幸华²，　黄国志¹

1.南方医科大学珠江医院，广州 510282；　2.广东省工伤康复医院，广州 510440；
3.宜兴九如城康复医院，江苏宜兴 214200

收稿日期:2016-12-15 出版日期:2017-03-25 发布日期:2017-04-27
通讯作者: 黄国志，教授，主任医师，E-mail:drhuang66@163.com
作者简介:唐丹（1966-），男，湖南湘潭人，主任医师，在读博士，主要研究方向：脊髓损伤康复，Tel：13600490069，E-mail: tangdan8@163.com

The effects of alternative gait orthosis on walking ability, activity of daily living and quality of life in patients with thoracolumbar spinal cord injury

TANG Dan ^1,2, LIU Si-wen², DENG Xiao-qian ², LIAO Lin-rong³, YANG Zheng-hui², YANG Xin-hua²，HUANG Guo-zhi¹

1. Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China; 2. Guangdong Provincial Work Injury Rehabilitation Hospital, Guangzhou 510440, China; 3. Yixing Jiuru Rehabilitation Hospital, Yixing, Jiangshu 214200, China

Received:2016-12-15 Online:2017-03-25 Published:2017-04-27

摘要/Abstract

摘要：

目的　观察胸腰段完全性脊髓损伤患者应用重心移动式截瘫步行矫形器（AGO）后对步行能力、日常生活活动能力和生存质量的临床疗效。方法　胸腰段完全性脊髓损伤患者60例，随机分为AGO组和对照组，各30例。所有患者均进行SCI常规康复训练和处理，AGO组在常规治疗的基础上，装配AGO及进行步行训练。两组分别在入院时、装配AGO前、装配AGO后8周进行步行能力评定、ADL评定和生存质量评定。结果经4个月的治疗前后，进行组间比较，AGO及训练后，均可借助肘拐或步行器步行，患者10 m步行时间平均87.27s，6 min步行距离平均46.35 m；ADL能力在装配后比较治疗组明显优于对照组（P<0.01）；生存质量评分中的生理和心理方面改善具有统计学意义（P<0.05）。结论 AGO配合系统的康复治疗对改善胸腰完全性脊髓损伤患者日常生活活动能力、步行能力及生存质量有一定效果, 值得临床进一步应用。

关键词: 胸腰段脊髓损伤, 重心移动式步行矫形器, 步行能力, 生存质量

Abstract:

Objective　To investigate the effects on walking ability, activity of daily living (ADL) and quality of life (QOL) after fitting the alternative gait orthosis (AGO) in thoracolumbar spinal cord injury (SCI) patients.　Methods　60 patients with complete SCI were randomly divided into an AGO group (30 subjects) and a control group (30 subjects). All patients received a standard rehabilitation training (including muscle strength training, balance training, transferring training, wheelchair using and ADL training). Patients in the AGO group received an additional 8 weeks of standing and walking training. Outcome measurement including the walking ability, ADL and QOL assessment were taken before rehabilitation training, before fitting orthosis and after fitting respectively.　Results　After 4 months of treatment, AGO group patients can use the orthosis to walk; average 10 m walking time was 87.27 s, average 6 min walking distance was 46.35 m; ADL ability in the treatment group was significantly improved when compared with the control group (P<0.01); the improvement in physiological and psychological aspects of QOL score was statistically significant (P<0.05).　 Conclusion　The using of AGO can improve the walking ability, ADL ability and QOL for patients with the thoracolumbar SCI, implicating that AGO should be widely applied in the future.

Key words: Thoracolumbar spinal cord injury, Alternative gait orthosis, Walking ability, Quality of life

唐丹,刘四文,邓小倩,廖麟荣,杨振辉,杨幸华,黄国志. 重心移动式截瘫步行矫形器对胸腰段脊髓损伤患者的疗效分析[J]. 中国临床解剖学杂志, 2017, 35(2): 224-227.

TANG Dan, LIU Si-wen,DENG Xiao-qian,LIAO Lin-rong,YANG Zheng-hui, YANG Xin-hua，HUANG Guo-zhi. The effects of alternative gait orthosis on walking ability, activity of daily living and quality of life in patients with thoracolumbar spinal cord injury[J]. Chinese Journal Of Clinical Anatomy, 2017, 35(2): 224-227.

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重心移动式截瘫步行矫形器对胸腰段脊髓损伤患者的疗效分析

The effects of alternative gait orthosis on walking ability, activity of daily living and quality of life in patients with thoracolumbar spinal cord injury

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